Provider Demographics
NPI:1700228079
Name:NORTHAMPTON ENDOSCOPY CENTER LLC
Entity Type:Organization
Organization Name:NORTHAMPTON ENDOSCOPY CENTER LLC
Other - Org Name:TWIN RIVERS ENDOSCOPY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SOPHIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:ARWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-625-6038
Mailing Address - Street 1:20 COMMUNITY DR
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18045-2658
Mailing Address - Country:US
Mailing Address - Phone:610-258-0982
Mailing Address - Fax:
Practice Address - Street 1:20 COMMUNITY DR
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18045-2658
Practice Address - Country:US
Practice Address - Phone:610-258-0982
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-26
Last Update Date:2013-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA261QE0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0800XAmbulatory Health Care FacilitiesClinic/CenterEndoscopy